[Peritonitis and cerclage of the cervix uteri].
Authors report a case of peritonitis following uterine cervical cerclage in a patient with twins. This observation leads to two problems: complications of cerclage and its real indications. Two recent controlled studies conclude that in a singleton pregnancy, there is no advantage in cervical cerclage in prolonging the gestation period and in decreasing the perinatal mortality. However, the last MRC/RCOG study, still in progress, shows that in a preliminary study, there is a small advantage in cervical cerclage in high-risk-pregnancy with two previous mid trimester spontaneous abortions and/or with premature labor. In multiple pregnancies especially in twin pregnancy, the problem remains unsolved.
Benifla
J L
JL
Service de Gynécologie-Obstétrique, Hôpital Antoine-Béclère, Clamart.
Pons
J C
JC
Saint Léon
M
M
Hajeri
H
H
Papiernik
E
E
D000328:Adult; D001424:Bacterial Infections; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011247:Pregnancy; D011272:Pregnancy, Multiple; D014427:Twins; D002581:Uterine Cervical Incompetence / Q000601:surgery*
Péritonite et cerclage du col utérin.